Nursing homes across Franklin County, Louisiana, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Plantation Manor runs about 135 certified beds in Winnsboro under for-profit LLC ownership, and its last health inspection in August 2025 came back clean on the things that matter most, eleven deficiencies on record, none causing harm or jeopardy, none tied to abuse. The staffing picture is mixed: overall nurse hours sit roughly 4% under the national average, and weekends run about 17% thinner than weekdays, though a 24.1% annual turnover rate is well below the 45.8% national figure, which suggests people tend to stay. Quality measures score low, so ask what those reflect before you tour.
Plantation Oaks runs lean on the floor: 3.45 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday coverage. That thinner weekend schedule matters more when you look at the inspection record, 21 deficiencies, two of them at harm or jeopardy level and three tied to abuse, plus a single $128,001 fine. Staff turnover of 23.1% is genuinely better than the 45.8% national figure, so the people who stay seem to stay. But with a 2/5 staffing rating and a September 2024 inspection, the state's findings carry weight here.
Mary Anna Nursing Home in Wisner runs a lean ship on staffing but has real problems elsewhere. Its 4.63 nurse hours per resident day sits about 20% above the national average, and weekend coverage only dips about 10% below weekday levels, which is better than many homes manage. Turnover of 17.5% is well below the national 45.8%. The trouble is care quality and oversight: CMS gives it just 1 star for quality measures and 2 for health inspections, with 14 deficiencies on record, 2 at harm or jeopardy level, 2 abuse-related, plus one fine of $19,120. Plenty of hands on deck, but the record shows they aren't always used well.
Legacy Nursing and Rehabilitation of Winnsboro runs 150 certified beds as a for-profit LLC, and the numbers tell a story of thin coverage and high churn. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but weekends drop about 17 percent below the home's own weekday level, meaning the days families visit most are the days with the least help. Staff turnover of 65.3 percent is well above the 45.8 percent national figure, and with 28 deficiencies on record, including three at harm or jeopardy level and two tied to abuse, plus $168,036 in fines, there's a pattern worth asking about before you tour.